| NPI | 1265683189 |
|---|---|
| Doing Business As | APPLE VALLEY DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEREK C THOMPSON Partenr 509-457-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 11197) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 9229) |
| 122300000X Dentist (Licence: WA 10686) | |
| 122300000X Dentist (Licence: WA 8036) | |
| 122300000X Dentist (Licence: WA 3855) | |
| 122300000X Dentist | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |